"Financial Case Manager"

The Bone Marrow Transplant (BMT) Financial Case Manager is a critical member of the Bone Marrow Transplant multidisciplinary team(s) and works collaboratively with physicians, nurse coordinators, social workers, practice coordinators, and external insurance case managers to ensure that patients are financially eligible and cleared for services throughout the transplant process. The Financial Case Manager incorporates knowledge of BMT-specific emerging therapies, such as CAR-T, and ensures appropriate payor rules are followed. Collaborates with the Contracting Department for non-contracted payors and resolves billing issues for transplant-related services with UCSF's billing representatives. Manages a large caseload that involves counseling and education during the evaluation, waitlist, and transplant phases of care. This is a critical role and is required of all transplant programs as stated in the United Network for Organ Sharing (UNOS) bylaws.

Works independently and follows the guidelines as set forth by the transplant and Patient Access Services department policies and procedures. Provides patient education on insurance rules and regulations, counseling on transplant-specific financial expectations, reviewing patient financial responsibility, coordinating the insurance process for patients for evaluation, waitlist testing, living donor workup, Autologous or Allogeneic Donor Transplant Surgery, and other specialty referral appointments as necessary. This includes obtaining all needed authorizations for above mentioned services while seeking to maximize the utilization of benefits and coordinate cost-effective care in a managed care environment for each patient.

Your placement within the salary range is dependent on a number of factors, including your work experience and internal equity within this position classification at UCSF. The salary range for this position is $72,000-$154,000. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html